Provider Demographics
NPI:1114303542
Name:BRADY-TOOMEY, ELIZABETH ANN (PCC-S)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:BRADY-TOOMEY
Suffix:
Gender:F
Credentials:PCC-S
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:BRADY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PCC
Mailing Address - Street 1:15520 FRICK CT
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-2014
Mailing Address - Country:US
Mailing Address - Phone:216-373-2659
Mailing Address - Fax:216-373-2265
Practice Address - Street 1:15520 FRICK CT
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-2014
Practice Address - Country:US
Practice Address - Phone:216-373-2659
Practice Address - Fax:216-373-2265
Is Sole Proprietor?:No
Enumeration Date:2015-08-07
Last Update Date:2020-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1000026101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional